1 Do Cellular Telephones Cause Cancer? Reviewing the Fundamental Issues Matthew C. Baker, Student, Calvin College Engineering Department Abstract—In recent years, concern has arisen about possible health risks associated with the use of cellular phones. Some recent studies have been published which suggest that exposure to radio frequency (RF) radiation (the driving force behind cell phones) may increase the incidence of cancer in mice, and this has contributed to the alarm. The goal of this paper is to inform readers about the physics and technology behind cell phones as well as to provide an overview of the existing RF radiation studies as they pertain to cancer. A handful of pertinent studies are reviewed and the epidemiological evidence of a link between cancer and RF radiation is examined and evaluated for its integrity. The findings presented in this article ultimately suggest that the evidence for a causal relationship between cell phone radiation and cancer is relatively weak. Index Terms—cancer, cellular telephones, epidemiological studies, RF radiation, specific absorption rate. I. INTRODUCTION S car drivers (including the author of this paper) feel unsafe knowing that many of the other drivers on the road are driving while their hands and minds are occupied with cell phone conversations. In light of recent scientific findings, car accidents may not be the only thing that cell phone users have to fear. Both scientists and laypersons have recently expressed concern that cellular phone users may be exposing themselves to radiation that could have negative health effects. The alarm is not unreasonable. The widespread use of cellular phones means that each day millions of people repeatedly place radio frequency (RF) transmitters against their heads. In 1994, there were 16 million cell phone users in the United States alone. As of July 17, 2001, there were more than 118 million[1]. A Scarborough report released in 2003 states that 66 percent of the U.S. population uses cellular phones, a statistic that would put current U.S. cell phone use at around 190 million people[2]. The percentage of users in European and Asian countries is even higher than in the United States. It is clear that the sheer size of the cell phone user population itself warrants a good examination into the safety of this form of radiant energy. Anxiety about the possibility of cell phones’ negative health effects first came to widespread public attention in OME Matthew Baker is a senior Electrical Engineering student at Calvin College in Grand Rapids, Michigan, MI 49546 USA (email: mbaker08@calvin.edu). Fig. 1. Cell-phone use has been increasing rapidly, which is one reason why scientists and lawmakers are so concerned about the potential risks associated with these devices. 1992 in a U.S. court. A Florida resident by the name of David Reynard filed a lawsuit which claimed that his wife’s fatal brain cancer had been caused by RF radiation from her cell phone. A federal court dismissed the suit in 1995 due to a lack of valid scientific and medical evidence; however, the issue gained the attention of the public. Several similar lawsuits and allegations in the media about the dangers of cell phones and their cancer-causing capabilities have developed since 1993, and this has spurred an increase in interest in the biology, physics, and epidemiology of RF radiation. The goal of this paper is to provide an overview of the science behind cellular phones as well as a discussion of the dosimetry of RF radiation, exposure standards, typical exposure levels, and possible mechanisms for biological effects. This is followed by a review of the epidemiological and experimental studies available on RF radiation, which includes an evaluation of the current evidence that suggests a link between cell phone radiation and cancer. II. THE PHYSICS BEHIND RF RADIATION A. RF Radiation Basics Electromagnetic radiation is made up of waves of electric and magnetic energy moving at the speed of light. All electromagnetic energy falls somewhere on the electromagnetic spectrum, which extends from direct current up to X-rays and gamma rays. Fig. 2 shows the electromagnetic spectrum and displays the location of different types of electromagnetic radiation along its length. Two types of electromagnetic radiation have been identified: ionizing and non-ionizing. Ionizing radiation is 2 Fig. 2. Cell phones fall between microwave ovens and TV transmitters on the electromagnetic spectrum. that which contains sufficient electromagnetic energy to strip atoms and molecules from body tissue and alter chemical reactions in the body[1]. Ionizing waves, such as gamma rays and x-rays, fall on the rightmost end of the electromagnetic spectrum and are known to cause damage. This is why lead vests are placed over patients bodies when X-ray images are taken. One the other end of the spectrum is non-ionizing radiation. Non-ionizing radiation is generally safe. It has been found to have some heating effects on tissues, however this is usually not enough to cause long-term damage[1]. RF radiation, visible light, and microwaves are all examples of non-ionizing radiation. Scientists divide the spectrum further into subregions according to the state of the technology being used and the characteristics that a specific form of radiation demonstrates. Cellular and personal communications systems (PCS) are commonly placed in the “wave” realm. The wave realm consists of the ultra high frequency (UHF) radiation region, which spans from 300 to 3000 MHz[3]. Maxwell’s equations are valid in this region and they are commonly used for mathematical analysis of the waves herein. B. where S/N is the signal-to-noise ratio. Therefore, channel capacity can be increased by increasing the system’s signalto-noise ratio. The Shannon theorem establishes the upper limit to the transfer of information within a channel, however, it does not describe how this upper limit can be achieved. At present, channel capacity is increased in wired communication by adding optical fibers in parellel, with each fiber optically isolated from its neighbors[3]. In wireless communications, channel capacity is increased by transmitting weak signals which attenuate rapidly near the transmitter. These signals then provide a given portion of the electromagnetic spectrum to be resued frequently in the same region by geographically separated and isolated “cells”[1]. This is the brilliance of the cellular system and it is why the name “cell” phone has become widely used. This division of a metropolitan area into cells allows widespread Channel Capacity and Modulation A continuous wave of UHF radiation is not useful by itself. In order for it to become useful, a wave must have information placed on it through a process called modulation. Modulation alters the original wave (called the carrrier) at a rate slightly slower than its nominal frequency in one of three ways. The two most common modulation techniques are amplitude modulation (AM) and phase modulation (FM). These two techniques function just like their names describe—by varying the amplitude or by varying the phase of the carrier wave. A third method for modulation is called digital modulation, which imposes information on a wave through pulsing. Each section of the spectrum has a limited capacity for carrying information. This capacity is described by the Shannon theorem. According to the Shannon theorem, the limiting capacity, C (in bits/s), of a communication channel of bandwidth W (in Hz) is S C W log 2 1 , N (1) Fig. 3. Because cell phones and base stations use low power transmitters, the same frequencies can be reused in adjacent cells. In this drawing, the two darker cells can reuse the same frequencies. frequency reuse across a city so that millions of people can use cell phones simultaneously (see Fig. 3). The way a given section of spectrum is allocated among users affects the channel capacity. Each cell phone carrier typically receives 832 frequencies to use in a city[1]. Cell phones use two frequencies per call (a duplex channel) so that there are normally 395 voice channels per carrier. The 42 other frequencies are used for control channels. Because of the relatively low signal strength that cell phones possess, the same frequencies can be “re-used” extensively across the 3 city. The degree of reuse depends in some measure on how the information is encoded. Because of this, several coding techniques have been developed; the most common of which are Frequency division multiple access (FDMA), Time division multiple access (TDMA), and Code division multiple access (CDMA). C. The Dosimetry of RF Radiation In a basic sense, the power density (in W/m2) across a surface is given by the relationship power density Re (n S) Re[n (E H*)] , (2) J. E. Moulder brings the possible negative effects of external exposure into perspective in Cell Phones and Cancer when he writes, “suppose the power density is ~1 W/m2. If this influx is absorbed, entirely and uniformly, in a tissue layer 1000 x 1000 x 1 mm, it corresponds to an SAR of ~1 W/kg. Further, at 1000 MHz, it corresponds to ~1 photon/s deposited in each 1 x 1 x 1-nm cube of tissue”[3]. In the laboratory, SAR can be estimated in a number of ways. If the effective conductivity is known, micro-antennas can be used to establish the local electric field in tissue using (4). Miniature thermal probes can measure the heating of surrounding tissue and can be used to deduce SAR using the equation where Re is the real part of the expression in brackets, S is the complex (frequency domain) Poynting vector in W/m, n is a unit vector perpendicular to the surface in question, E is the complex electric field strength in V/m, and H* is the complex conjugate of the complex magnetic field strength in A/m[3]. This equation gives the strength of an incident EM wave, which is the definition of power density. Power density is the favored measurement of external exposure to a UHF field because it is fairly easy to measure. The ANSI/IEEE c95.1 recommendations for average external exposure to UHF is power density (in W/m 2 ) SAR c p T t , (5) f (in Hz) 2 to 20 W/m 2 8 (3) 1.5 10 0.2 to 2.0 mW/cm 2 . A recent recommendation from the International Commission on Non-Ionizing Radiation Protection (ICNIRP) recommends similar power-density guidelines for limiting the general public’s exposure to RF radiation. The purpose of these restrictions is to prevent humans from becoming overheated by limiting exposures to levels that are relatively weak. To get a feel for the units of power density, consider that summer sunshine peaks at around 1000 W/m2. Despite the friendliness of its units, the measurement of external exposure that the power density equation provides has proven to be an inadequate gauge of the significant conditions within an irradiated organism. Scientists choose to use a metric of internal exposure called the specific absorption rate, or SAR (in W/kg). The SAR is the metric that is typically used to measure doses of RF exposure in laboratory experiments. The SAR is given by σ SAR (Elocal) eff ρ 2 (4) where Elocal is the r.m.s. electric field (in V/m) in the organism at the point of interest, σeff is the effective conductivity in S/m, and ρ is the local mass density in kg/m3[3]. ANSI/IEEE limits the spatial-average SAR in uncontrolled environments to 0.08 W/kg for a whole-body, and to 1.6 W/kg as averaged over any 1 g of tissue. It is allowable to average power density and SAR over 30-minute intervals. The ICNIRP restrictions for SAR are comparable to these ANSI/IEEE limits. Fig. 4. Power absorbed in the head of a cell phone user. Computer image created by EM software. Taken from www.rfsafe.com. where cp is the specific heat at constant pressure in J/(kg * K), and δT is the change in tissue temperature over a time δt[3]. A more realistic approach involves the use of numerical models of macroscopic bodies. With an organism and a well-characterized irradiation geometry, finite difference time domain (FDTD) simulations can predict SAR accurately. This method is well-developed and avoids the difficulties of determining SAR experimentally, as in the methods above. (See Fig. 5 for an example of this form of modeling). However, FDTD modeling is expensive and time consuming. D. Human Exposure In its 1991 update, the IEEE/ANSI guideline for local SAR limit was set to 1.6 W/kg, averaged over any gram of tissue[4]. The FCC later adopted this limit and appplied it to all mobile phones and other small transmitters. The ICNIRP restriction is currently 2-4 W/kg, which is comparable to the IEEE/ANSI value. These values were chosen because they closely resemble the human whole-body resting metabolic rate and are about 12.5% of the brain’s resting metabolic rate. Many cell phones operate near the FCC limit, and require careful measurements in order to establish compliance. In the United States, cellular phones operate at low power levels, but the antenna, which has a time-averaged power output of about 600 mW for an analog phone and 125 mW for a digital unit, is placed very near to the head, which can 4 Fig. 5. A example 3D FDTD simulation of dipole radiation. push exposure levels close to the regulatory limits[4]. The numerically modeled brain SARs of a cellular phone user sometimes even exceed the 1.6 W/Kg limit, however, they usually fall within the “controlled environment” limit of 8 W/kg averaged over six minutes. The exposure levels vary greatly depending on the precise location of the handset against the head and on the precise shape and electrical traits of the user’s head. All of these are quantities that vary for each person, which makes exposure a complicated measurement to generalize. E. Biological Effects of RF Radiation An electromagnetic wave can cause a biological change in living tissue in two ways: depositing enough energy while passing through the tissue to alter some structures, or by depositing packets of energy in the tissue that are larger than the bond energy[5]. For a biological change to occur by way of altering structure, the EM wave must transfer energy significantly above kT, where k (1.38 x 10-23 J/K) is the Boltzmann constant and T is the absolute temperature (in kelvin, K). At human body temperature (37 degrees C or 310 K), kT is equal to 4.3 X 10 -21 J. To cause a change in chemical bonds, the EM wave must be capable of depositing energy packets that are larger than the bond energy, which is near the value of an electron volt, or 1.6 X 10 -19 J [3]. To put this all into perspective, recall that photons were discussed earlier in the description of power density. It was said that if a power density of 1 W/m2 were absorbed into tissue, at 1000 MHz it would correspond to 1 photon/s being deposited in each 1 x 1 x 1-nm cube of tissue. The energy contained in an EM photon is hf, where h (6.625 X 10-34 J s1 ) is the Planck constant and f is the frequency of the wave in Hz (cycles/s). Therefore, in the range 300 to 3000 MHz, which is the UHF region, the energy of a single photon is less than 0.1% of kT or the bond energy[3]. Many scientists argue that due the fact that photon energy is much less than kT or the bond energy in the UHF realm, there is not much possibility that UHF radiation could cause biological change at subthermal power levels. III. INVESTIGATING A LINK It is tremendously difficult to prove a link between any environmental exposure and cancer. This difficulty stems from the fact that there is no sole cause for cancer, and because there is no adequate method for continuously supervising individual exposures or for approximating an individual’s exposures in the past. The case of RF radiation is the same. According to oncologychannel.com, the annual incidence of brain cancer in the United States is 15-20 cases per 100,000 people[6]. Given the hundreds of millions of cell phone users in the United States, thousands of these users will develop brain cancer each year, regardless if there is a link between RF radiation and cancer at all. Because of this difficulty, proving or disproving the existence of a link requires very carefully designed studies. Health agencies rely on two types of studies when investigating possible cancer-causing agents: epidemiological studies and experimental studies with animals. Epidemiological studies are those that include statistical analyses of health records in order to establish a positive or negative correlation between incidence of disease and exposure. These studies are the type that will be examined first. IV. EPIDEMIOLOGICAL STUDIES The following section of this paper will describe four recent epidemiologic investigations on cancer risk among cellular telephone users. The results of each study will be explained and an evaluation of the study as a whole will be provided. A. USA – Rothman et al. (1996) The first follow-up study to the David Reynard lawsuit occurred in 1996. This study was performed by an epidemiologist by the name of Kenneth Rothman at Epidemiology Research Institute in Newton Lower Falls, Massachusetts. This was a cohort study (an observational study in which a defined group of people (the cohort) is followed over time and outcomes are compared in subsets of the cohort who were exposed or not exposed, or exposed at different levels, to a certain factor of interest) of mortality among cellular telephone subscribers residing in metropolitan areas. The four metropolitan areas were Boston, Chicago, Dallas, and Washington DC. The members of the sample group were single phone, noncorporate customers who had active cellular accounts as of January 1, 1994. 255,868 subscribers were selected to investigate the link between mortality and cellular phone use. 23% of the sample used a nonhandheld (where the antenna is mounted on a vehicle) phone, while 19% used a handheld phone (where the antenna is placed close to the head). The type of phone was unkown for 58% of subjects. A total of 408 deaths were reported. The overall mortality rate was lower for handheld cellular telephone users than for nonhandheld users[7] and mortality rates for both types of users were far lower than corresponding rates for the general population. Unfortunately, these results are inconclusive regarding a link between cancer and cellular telephone use because total mortality is a non-specific outcome. The total number of deaths due to cancer was unknown. Also, the low mortality rate compared with the general population indicates that a healthy sample was selected. Nonetheless, this study paved the way for future epidemiological studies investigating the link, and it indicated that cell phone users were not in any more danger than non-cell phone users. 5 B. Sweden – Hardell et al. (1999, 2000, 2001) Lennart Hardell and his colleagues at the Orebro Medical Centre in Orebro, Sweden, performed a prevalence casecontrol study (a study that excludes those who died and cannot provide information about casualty) of persons between the ages of 20 and 80 who were diagnosed with a brain tumor between 1994 and 1996 in Sweden. The study evaluated the mobile phone habits of 209 of these brain tumor patients and compared these to 425 healthy control subjects[7]. Questions were asked regarding average minutes of phone use per day, years of phone use, digital or analog phone use, type of phone, side of head that phone was placed on, among other things. The results of the study showed that there was no difference in the percentage of cell phone users between the control group and the test group. There was also no noteworthy difference in the median number of hours of telephone use or for the use of analog phones versus digital phones. The study revealed one finding that was informative: users of mobile phones who had developed certain types of brain tumors were more likely to report having used the phone on the side of the head with the tumor than on the other side[4]. The study did not show an increased risk for brain tumors occurring on the opposite side of the head than where the phone was positioned. However, this association was weak. It was not statistically significant and could be explained as recall bias by the subjects due to the fact that all of Hardell’s subjects knew that they had brain cancer before they were questioned. Also, because there was no overall association between cellular phone use and brain tumors, it is not reasonable to conclude that that although cellular phone use does not cause cancer, it might have the ability to change the location of the tumor in the brain[7]. Overall, this study did not show an increased risk of brain tumors associated with cell phone use. The study did show an increased risk of tumors in certain regions of the brain associated with cellular phone use on the same side of the head. However, this risk was balanced by decreased risk in other regions of the brain associated with this same-side use. Once again, the association was not statistically significant due to the small number of test subjects. C. USA – Muscat et al. (2000) A study of brain cancer patients in five hospitals in New York, Massachusetts, and Rhode Island was conducted over the years of 1994 to 1998. The 469 test subjects were between the ages of 18 and 80 and had been diagnosed with primary brain cancer. These test subjects were compared with 422 other hospital control patients who did not have brain cancer. The test employed a face-to-face questionnaire that inquired about handheld cell phone use as well as hours of use per month and years of use. 14% of the cancer patients reported handheld cellular phone use and 18% of the control group reported the same. Mean length of phone use for both groups was 2.7 and 2.8 years, respectively. Analysis of the existence of an association was performed using the criteria of years of use, number of hours used per month, total hours of use, location of brain cancer, and type of tumor. No significant associations were found[7]. Brain tumors were more prevalent on the same side of the head that the telephone was normally held, however, tumors on the temporal lobe (the part of the brain that receives the most RF exposure during cellular phone use) were less prevalent on the same side. This is the opposite of Hardell’s findings[7]. This study was strong due to its large sample size, the structured questionnaire that was administered face-to-face, and the high response rate. The weaknesses of this study Fig. 6. Age Standardized annual incidence (cases per 100,000) of ocular malignant melanoma in Denmark 1943-96 and number of cellular phone subscribers. No increasing trend in the incidence of melanoma has been observed. include the fact that only a small number of subjects (5%) reported longer than four years of cell phone use, and there is the possibility of recall bias. Recall bias was most likely lessened because the questionnaire was given to patients shortly after cancer diagnosis, meaning that the patients’ memory was probably more accurate. Overall, the results of this study do not suggest an association with an increased risk of tumors in the areas of the brain that receive the heaviest RF radiation exposure, which suggests that cellular phone use does not cause cancer. D. Germany – Stang et al. (2001); Johansen et al. (2002) Two incidence case-control studies were carried out in Germany on occupational risk factors for eight rare forms of cancer, including uveal melanoma (melanoma of the eye). The eye is one of the body tissues that is exposed to RF radiation during cellular phone use. The results were pooled together to produce a total of 118 cases of uveal melanoma and 475 matched control subjects. The subjects were asked, “Did you use radio sets, mobile phones, or similar devices at your workplace for at least several hours per day[7]?” Based on the evaluation of the responses that followed, one of the authors reported a significant four-fold increased risk of malignant melanoma of the eye for “probable or certain exposure to mobile phones,” which was based on 12 of the cancer subjects who had reported being exposed. This study as a whole, however, was mostly inconclusive relative to cellular phone use due to the fact that it was not designed to look directly at exposure to cellular phone radiation[7]. Evaluation of exposure only included occupational cell phone use, and the responses to the question regarding “radio sets, mobile phones, or similar devices” made it difficult to isolate cellular phone exposure. Other researchers proposed that if the results of this German study were true, and cellular phone use increases the 6 risk of uveal melanoma by a factor of four, then the incidence of uveal melanoma should increase over time as the number of cellular phone subscribers increases. In order to test this proposition, the incidence rates of melanoma of the eye between the years 1943 and 1996 were compared with the number of mobile phone subscribers in Denmark. There was no increasing trend in the incidence of melanoma of the eye, even though the number of cellular phone users grew exponentially over the years in question. See Fig. 6. studies had shown that excess DNA breaks were not present after in vitro exposure of cells to RF radiation. Due to the unique positive findings of these studies, future studies were needed in order to validate the genotoxic potential of RF radiation. Two of these follow-up studies (which employed animal testing) will be described in the following paragraphs. E. This study chronically exposed cancer-prone mice to 2450 MHz RF radiation in order to evaluate cytogenetic damage in blood and bone marrow cells. Two hundred female mice were randomly divided into two groups. The first group was exposed to 2450 MHz RF radiation at an SAR of 1.0 W/kg 20 hours a day, 7 days a week, for 18 months. The second group of mice was sham-exposed. 75 supplementary mice were kept as sentinel subjects and examined periodically for health status. Seven of these sentinels that endured the 18month study were used as positive control animals and were injected with 1 mg/kg of mitomycin C, which is a DNA inhibiting anticancer agent. These seven were sacrificed 24 hours after the injection. Blood and bone marrow smears were made from all of the mice that survived the 18-month period in order to determine the incidence of micronuclei. This was performed by examining 2000 polychromatic erythrocytes in peripheral blood and in the bone marrow[3]. After the 18-months had elapsed, there were 62 RF-exposed mice and 58 shamexposed mice remaining. The mean number of micronuclei per 1000 polychromatic erythrocytes in the exposed mice was 4.5 in peripheral blood and 6.1 in bone marrow (See Table I). The mean number for sham-exposed mice was 4.0 in peripheral blood and 5.7 in bone marrow[3]. This difference proved to be statistically significant for peripheral blood and bone marrow. Summary of Epidemiological Findings The preceding sections described four recent studies that investigated a link between RF radiation exposure and cancer. None of the studies that were referenced suggested a positive correlation between cellular telephone use and cancer. All other epidemiology studies have also been mostly or completely negative, and are certainly inconsistent with any large increase in risk (a doubling or more) of brain cancer as a result of cell phone use[4]. There are shortcomings associated with these existing studies. All studies completed thus far have not concluded anything about small cancer risks associated with RF radiation; nor have they said anything about future risks. To shed light on this aspect, any credible study would need to examine a person’s cell phone use over a decade or more, which has been difficult to do given the speed at which cell phone technology changes[4]. V. ANIMAL EXPOSURE STUDIES As explained earlier, researchers generally accept that RF radiation from cellular phones does not contain sufficient energy to cause biological changes in tissue or break chemical bonds. Many also argue on physical grounds that the low energies produced by these non-ionizing radiation are not capable of causing cancer. Despite the fact that the majority of genotixicity studies of RF radiation have not shown significant positive results for harmful potential, some studies have reported positive effects. The most notable of these positive reports were by Maes et al. and Lai and Singh[3], whose studies will be briefly summarized now. Maes et al. exposed human lymphocytes (white blood cells that have surface proteins specific for antigens) in vitro to 2450 MHz RF fields for 30-120 minutes at an SAR of 75 W/kg and reported a significant increase in chromosomal aberrations[3]. It is difficult to interpret the data produced by this study because there are uncertainties regarding the dosimetry of the radiation and the temperature measurements. There is question as to whether the metallic temperature probe that was used may have been heated by the RF radiation and, in turn, caused heat damage to the cells that the needle touched. Uncertainty also exists in the SAR measurements that were taken due to the fact that they were performed during a separate experiment[3]. Lae and Singh exposed rats to 2450 MHz RF radiation at SARs of 0.6 or 1.2 W/kg for two-hour periods, after which time they observed breaks in the DNA strands in the rats’ brain cells. These DNA breaks were observed immediately upon exposure and sometimes after four-hour intervals. This finding conflicts with existing knowledge about DNA repair after exposure to other forms of radiation. Also, previous A. Vijayalaxmi et al. Table I. Results of Vijayalaxmi et al. study The biological significance of this difference should be examined before any hasty conclusions are made. These results show that the increase in frequency of micronuclei in the RF-exposed mice compared to the sham-exposed mice was only 1 extra micronucleus in every 2000 cells. This is a 7 very small change in biological terms[3]. Also, this change was observed in animals that were exposed to a large amount of RF radiation over a long interval. This does not provide ample evidence to conclude that exposure to RF radiation causes mutation. In addition, the study did not show that rats which developed an increased frequency of micronuclei even developed cancer. B. Malyapa et al. The studies by Malyapa et al. were designed to replicate and expand the work done by Lai and Singh. Remember that Lai and Singh reported that RF radiation exposure in animals could cause breaks in DNA strands in brain cells. One of the studies by Malyapa et al. was designed in vitro, which makes it possible to monitor and control cell growth, temperature, dosimetry and other experimental conditions. Damage to DNA was measured using an alkaline comet assay[3]. A comet assay is a rapid and very sensitive fluorescent microscopic method for examining DNA damage and repair at the individual cell level. Cells were exposed in vitro to 2450 MHz continuouswave RF radiation, 836 MHz frequency-modulated RF radiation, or to 848 MHz MHz RF radiation with CDMA modulation. The 836 MHz frequency-modulated and 848 MHz RF radiation with CDMA modulation were designed to reproduce the conditions produced by United States cellular phones. The environment of exposure was 37 degrees C, and cells were exposed for periods of 2, 4, or 24 hours. The 2450 MHz study used SARs of 0.7 and 1.9 W/kg, while the 836 and 848 MHz study utilized an SAR of 0.6 W/kg. An examination of DNA strand breaks was performed directly after exposure, with the exception of the 2 hour exposure, in which case examinations were performed both immediately and four hours after the cells were exposed. There was no evidence of DNA damage in cells exposed to RF radiation[3]. A second study by Malyapa et al. used in vivo exposure and subjected one group of rats for 2 hours to 2450 MHz RF radiation at an SAR of 1.2 W/kg. A second group of rats was sham-exposed. Following exposure, the rats were immediately killed via guillotine, and then the brains were dissected. There was no difference between the shamexposed and RF-radiation-exposed groups (see Figure 7). No evidence of DNA damage was observed in brain cells of the exposed group. This finding is inconsistent with the results reported by Lai and Singh, who observed DNA strand breaks in rat brain cells after the rats were exposed to RF radiation. C. Summary of Experimental Findings Although there have been positive findings in some experimental studies, no relationship between RF radiation and cancer has been consistently shown. In fact, many of the studies that have shown a positive relationship have never been reproduced (as shown in the previous paragraphs). In addition, most studies expose animals to whole-body radiation rather than the head-only exposure that humans experience from cell phones. It is important to consider the weight that should be given, in general, to results that are attained in rats and mice. It is unclear how such results can be interpreted in terms of human health, regardless if the results are positive or negative. Fig. 7. Malyapa et al. in vivo exposure in rats. Sequential guillotine euthanasia and dissection 4 hours after the end of a 2 hour exposure. Each bar is for two animals that were shamexposed or exposed or exposed to 2450 MHz RF radiation. The data shows that there is no difference between the groups. VI. EVALUATION FROM PUBLIC HEALTH AGENCIES Several public health agencies have evaluated the carcinogenic potential of cellular telephone use based on epidemiological and experimental evidence like the examples here. Almost all acknowledge that there is not enough evidence to establish the existence of any health risks or cancer risks associated with cell phone use. In response to claims by the media that certain cellular phones were exceeding the maximum level for radiation emissions, the FCC issued a statement in October 1999 stating that its guidelines, “already incorporate a large margin of safety between allowed levels of exposure and exposure thresholds that have been identified with known adverse health effects.” The statement went on to read, “[the excess levels] are well within that safety margin, and, therefore, there is no indication of any immediate threat to human health from these phones.” Further studies into the safety of RF radiation from mobile phones are currently being pursued by the FCC[8]. The Center for Devices and Radiological Health (CDRH) of the U.S. Food and Drug Administration issued a statement in October of 1999 saying, “the available science does not allow us to conclude that mobile phones are absolutely safe, or that they are unsafe. However, the available scientific evidence does not demonstrate any adverse health effects associated with the use of mobile phones[8].” In May 1999 in the United Kingdom, the National Radiologic Protection Board Advisory Group on Nonionizing Radiation concluded, “…there was no human evidence of a risk of cancer resulting from exposure to radiations that arise from mobile phones[8].” These quotations sum up the feelings of the majority of the scientific, medical, and governmental bodies toward the evidence of a link between cellular phone use and cancer— there is no convincing evidence. VII. CONCLUSION Since the David Reynard case in 1992, there has been a flood of activity in the scientific community to assess the 8 possibility that cellular phone users may be putting themselves at higher risk for cancer. A number of studies have been published that investigate the association between the RF radiation emitted by cellular phones and cancer, and a handful of the epidemiological and experimental studies have been examined in this paper. On the whole, these studies have provided little reason for believing that cellular phones cause cancer. The long-term effects of cellular phone use have not been adequately evaluated due to the young age of the technology, however, there has been no concrete indication of adverse effects so far. The absence of ionizing radiation and the low energy levels associated with cell phones make it improbable that these gadgets are capable of being carcinogenic. Despite this strong negative indication, it is important that research into the science of cell phone radiation be continued so that the safety of this technology can be further confirmed to the public. At the same time, it must be understood that no amount of research can prove that a product is completely safe, and so the author leaves the concerned cellular phone user with this advice from the Food and Drug Administration Center for Devices and Radiological Health: If there is a risk from these products—and at this point we do not know that there is—it is probably very small. But if people are concerned about avoiding even potential risks, there are simple steps they can take to do so. People who must conduct extended conversations in their cars every day could switch to a type of mobile phone that places more distance between their bodies and the source of the RF, since the exposure level drops off dramatically with distance. For example, they could switch to: a mobile phone in which the antenna is located outside the vehicle, a hand-held phone with a built-in antenna connected to a different antenna mounted on the outside of the car or built into a separate package, or a headset with a remote antenna to a mobile phone carried at the waist. Again the scientific data do not demonstrate that mobile phones are harmful. But if people are concerned about the radiofrequency energy from these products, taking the simple precautions outlined above can reduce any possible risk[9]. ACKNOWLEDGMENT M. C. Baker thanks Dr. Paulo F. Ribeiro for his guidance throughout the development of this paper. REFERENCES [1] [2] [3] [4] [5] Bonsor, Kevin. (2002). How Cell Phone Radiation Works. HowStuffWorks.com [Online]. Available: http://electronics.howstuffworks.com/cell-phone-radiation.htm D. McFarland and A. Mongrain. (2003, Oct. 14). Atlanta, GA; Detroit, MI; and Austin, TX ring the loudest when it comes to cell phone ownership. Scarborough Research [Online Press Release]. Available: http://www.scarborough.com/scarb2002/press/pr_cell.htm J. E. Moulder, “Cell Phones and Cancer: What Is the Evidence for a Connection?” Radiation Research, vol. 151, no. 5, pp. 513-31, May 1999. K. R. Foster and J. E. Moulder, “Are mobile phones safe?” IEEE Spectrum, vol. 37, pp. 23-28, Aug. 2000. Ali Tombak. (2002, Jan. – March). Biological Effects of Cellular Phones. The Fountain [Online]. Issue 37. Available: http://fountainmagazine.com/articles.php?SIN=f5ffae280d&k=123& 1967769021&show=part1 [6] [7] [8] [9] Brain Cancer. [Online Encyclopedia]. Available: http://www.oncologychannel.com/braincancer/ J. D. Boice, Jr. and J. K. McLaughlin. (2002, Sept). Epidemiologic Studies of Cellular Telephones and Cancer Risk, --A Review. SSI Report [Report Online]. Available: http://www.ssi.se/ssi_rapporter/pdf/ssi_rapp_2002_16.pdf H. Frumkin and M. J. Thun. (2001). Environmental Carcinogens – Cellular Phones and Risk of Brain Tumors. [American Cancer Society Online article]. Available: http://www.cancer.org/docroot/pub/content/pub_3_8x_environmental _carcinogens-cellular_phones_and_risk_of_brain_tumors.asp Cell Phone Facts: Consumer Information on Wireless Phones. [FDA website safety resource, Online]. Available: http://www.fda.gov/cellphones/qa.html#30 Matthew C. Baker is a senior Electrical Engineering student at Calvin College in Grand Rapids, MI. He plans to graduate with a B.S.E. in Electrical and Computer Engineering in May 2004. After school, Matt plans to pursue employment opportunities in the West Michigan and Chicago, Illinois areas.